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GS1 Healthcare –
Improving Patient
Safety
Ulrike Kreysa, Director Healthcare
GS1 Global Office, Brussels
GS1 Healthcare Nederland Conference,
Amsterdam, 27 January 2011
Standards – why do we care?

             Regulations emerge worldwide
                  Supply Chain costs increase
                             Electronic Health Records
                                   Medication errors
                                         Counterfeiting




                                                          2
© 2008 GS1
GS1 Standards in Healthcare …
             Our vision

              GS1 Healthcare envisions a future where
              the healthcare sector utilises GS1 global
              standards for all items, locations, people
              and processes to drive patient safety and
              supply chain efficiency improvements--
              starting with the manufacturer and ending
              with procedures or treatments for a specific
              patient.




© 2008 GS1
Leading healthcare
                         organisations pave the way…
             Corporate members of the global user group




© 2008 GS1
Need for standards in Healthcare
                    Diverging country requirements
                            Manufacturing headache




                          >




                              Additional cost and risk


© 2008 GS1
Leading healthcare
                             organisations pave the way…
             Healthcare providers and Group Purchasing
                     Organisations going global



      France       Germany         Netherlands      Hong Kong     Switzerland




      Austria      Germany             USA              Austria       USA




         Ireland     Netherlands           France          USA        USA
© 2008 GS1
Advancing global standards
             in Healthcare

             • Global Healthcare User Group
               • Develop global healthcare standards
               • Drive global harmonization


             • Local Healthcare User Groups
               • Drive adoption & implementation of GS1
                 Standards
               • Help develop global healthcare standards




© 2008 GS1
Local Healthcare user groups
             driving adoption




                                            8
© 2008 GS1
GS1 Healthcare around the World
    Members global user group                                      Local participation
 Manufacturers          Distributors/Healthcare               Manufacturers               Healthcare providers/Retailers
 Abbott Laboratories    providers/GPOs/T&L                    3M                          Alfred Hospital (Australia)
 Alcon Labs             Cardinal Health (U.S.)                Bayer                       Ascension Health (U.S.)
 Amgen                  CH Aulnay sous Bois (France)          Becton Dickinson            Capital District Health (Canada)
 Astra Zeneca           Comparatio Health (Germany)           Boehringer Ingelheim        CHU de Québec (Canada)
 Baxter                 CVS (U.S.)                            Coloplast                   CHU Dijon (France)
 Becton Dickenson       DHL Exel Supply Chain                 Draeger Medical             HUG Geneva (Switzerland)
 B. Braun               Erasmus MC Rotterdam (NL)             Genzyme                     London Drugs (U.K.)
 Boston Scientific      UNI.HA (representing 17 French        Hospira                     Mayo Clinic (U.S.)
 Bristol Myers Squibb   university hospitals)                 Kimberly-Clark              Sisters of Mercy (U.S.)
 Cook                   Hong Kong Hospital Authorities        Novo Nordisk                Sobeys Pharmacy (U.K.)
 Covidien               McKesson (U.S.)                       Purdue Pharma               UHCS Augusta VA (U.S.)
 Edwards Lifescience    Novation (U.S.)                       St. Jude Medical            Walgreens (U.S.)
 Fresenius              Orthopädisches Spital Speising Wien   Stryker                     Wal-Mart (U.S.)
 Glaxo Smith Kline      (Austria)                             Teva Pharmaceuticals        …
 Johnson & Johnson      Premier (U.S.)                        Terumo                      Associations
 King Pharmaceutical    St. James Hospital, Dublin            UCB                         AHA (U.S.)
 Medtronic              Marienhospital Herne (Germany)        Upsher-Smith                CIP/ACL (France)
 Merck & Co.            UMC Groningen (NL)                    …                           CHeS (U.S.)
 Novartis Pharma        University Kentucky Healthcare        Distributors/Wholesalers    EFPIA (Europe)
 Pall Medical           (U.S.)                                Aexxdis                     Eucomed (Europe)
 Pfizer                 Wiener Krankenanstaltenverbund        Amerinet                    FENIN (Spain)
 Schering Plough        (Austria)                             Amerisource Bergen          GIRP (Europe)
 Smiths Medical         Non-voting members                    CH2                         HDMA (U.S.)
 Sakura Seiki           AHRMM                                 Depolabo                    International Hospital Federation
                        Cladimed                              Galexis                     JFMDA (Japan)
 Solution provider      EDQM – Council of Europe              GAMMA Wholesale             Medical Industry Association of
 Axway                  FDA USA                               Geodis                      Australia
 GHX                    Instituto Brasileiro de Ética         McMahon                     NACDS (U.S.)
                        Concorrencial – ETCO                  Owens & Minor               Patient Safety Foundation (U.S.)
© 2008 GS1              Public Health Agency of Canada        …                           …
                        US DoD                                                           And many more…
Working with International
                                      Organisations



                         International        European       Health Level 7     International
                                                                                                International
                        Organisation for    Committee for                          Health
     World Health                                                                             Society for Blood
                        Standardization    Standardization                    Terminology SDO
     Organization                                                                                Transfusion




International Society             European
                                                         European             United Nations
    for Quality in              Association of                                                   World Customs
     Healthcare                 Medical Device         Association of                             Organization
                                 manufacturer             Hospital
                                                        Pharmacists




© 2008 GS1
GS1 Standards for Healthcare

   Standards development continues, but global
     standards are ALREADY available to build on:
                 AIDC Application Standards for 90% of medical
               products
                 AIDC Application Standards for small instruments
                 Healthcare extension in next GDSN release
                 Global Traceability Standard for Healthcare
                 GTIN Allocation Rules for Healthcare
                 Guideline for plasma derivatives




© 2008 GS1
Government & regulatory
                     developments
             FDA Amendments Act of 2007
             Serialised Numerical Identifiers (SNI) system for drugs – aligned
             with GS1 standards (AI(21))
             Authority to develop regulations establishing a Unique Device
             Identification (UDI) system for medical devices


             “Pharma Package” - Prevention of the entry into the legal supply
             chain of medicinal products which are falsified in relation to their
             identity, history or source, introducing a harmonised coding
             system to enable traceability
             Recast of Medical Device Directive - To establish a UDI System

             EDQM Project: Track & Trace Service
             Phase 2 (live demo development) start Q1 2011


© 2008 GS1
Government & regulatory
                         developments (cont’d)
             China – Shanghai Regulation 7 November 2006 – Established
             a traceability system for implantable medical devices in 2007

             India – Ministry of Health & Family Welfare –
             Tender requirements for GS1 Standards for all medical supplies procured by the
             MoHFW


             Australia – National eHealth Transition Authorities –
             To accelerate the adoption of eHealth established:
             • National Product Catalogue based on GS1 Standards
             • GLN Registry with GS1 Australia

             Turkey – Ministry of Health and SKG
             • National databank for medical devices
             • Track and Trace for pharmaceuticals based on GS1 standards – GS1 DataMatrix
             with GTIN, lot/batch number, serial number and expiry date – already in place

             France – enabling traceability
             Identification of drugs with GS1 Data Matrix containing GTIN, lot/batch number and
             expiry date – no serialisation - from 1 January 2011 onwards

© 2008 GS1
Industry developments

             US – Sunrise dates – GLN 2010 and GTIN 2012 –
             targeting for the adoption of GLN and GTIN by 2010
             resp. 2012
             US – Tender requirements – Endorsement by GPO’s
             and healthcare providers envisioning tender
             requirements for GS1 Standards


             Canada – Sunrise dates – GLN 2010 and GTIN
             2012 – targeting for the adoption of GLN and GTIN by
             2010 resp. 2012
             Canada – Tender requirements – Endorsement by
             GPO’s and healthcare providers envisioning tender
             requirements for GS1 Standards
             Canada – Pharmaceutical Bar Coding Project -
             ISMP Canada and CPSI
                                                                    14
© 2008 GS1
DataMatrix on pharmaceuticals
                 France: AFSSAPS     Belgium: Pilot project unit         Serbia: Pilot
                 regulation (2011)         dose marking
Spain: Pilot

                                                                   Korea: pharma regulatory
                                                                         requirement (2011)
Switzerland:
SmartLog Pilot


Turkey: Regulatory                                                         Japan: option for
requirement (2010)                                                      instruments marking


Brazil: traceability
pilot successfully
completed – ANVISA
regulation


                         = country requires DataMatrix
                         = country using DataMatrix in pilots and/or developing
© 2008 GS1                  requirement for DataMatrix                                   15
Position on Camera-Based scanners
             (June 2007)

                       Preparing members, solutions providers and end
                       users for the future…




                           Get your copy at:
                           http://www.gs1.org/docs/healthcare/GS1_HUG_ps_Ca
                           mera_Based_Scanners.pdf




                                                                              16
© 2008 GS1
The need for global standards

             • Healthcare is local
               • Healthcare providers are local
               • Regulations are local
             • Healthcare is global
               • Healthcare supply chains often cross borders



             Country-by-country solutions are
              not sufficient nor effective


© 2008 GS1
GS1 Standards in Healthcare

             • Enable automatic identification
               systems
             • Enable traceability systems
             • Enable « clean » data

             GS1 Standards in Healthcare
              improve patient safety worldwide




© 2008 GS1
19th Global
                       GS1 Healthcare Conference




                            Washington
                           6-8 April 2011
                 More information: soon on www.gs1.org/healthcare

              19th Global GS1 Healthcare Conference
             Washington DC Metro Area – 6-8 April 2011
                   Registration open at www.gs1.org/healthcare

                                                                    19
© 2008 GS1
Contact Details
Ulrike Kreysa
GS1 Global Office
T +32-2-788.78.37
E ulrike.kreysa@ gs1.org
W www.gs1.org/healthcare

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Gs1 healthcare voor een betere patientveiligheid

  • 1. GS1 Healthcare – Improving Patient Safety Ulrike Kreysa, Director Healthcare GS1 Global Office, Brussels GS1 Healthcare Nederland Conference, Amsterdam, 27 January 2011
  • 2. Standards – why do we care? Regulations emerge worldwide Supply Chain costs increase Electronic Health Records Medication errors Counterfeiting 2 © 2008 GS1
  • 3. GS1 Standards in Healthcare … Our vision GS1 Healthcare envisions a future where the healthcare sector utilises GS1 global standards for all items, locations, people and processes to drive patient safety and supply chain efficiency improvements-- starting with the manufacturer and ending with procedures or treatments for a specific patient. © 2008 GS1
  • 4. Leading healthcare organisations pave the way… Corporate members of the global user group © 2008 GS1
  • 5. Need for standards in Healthcare Diverging country requirements Manufacturing headache > Additional cost and risk © 2008 GS1
  • 6. Leading healthcare organisations pave the way… Healthcare providers and Group Purchasing Organisations going global France Germany Netherlands Hong Kong Switzerland Austria Germany USA Austria USA Ireland Netherlands France USA USA © 2008 GS1
  • 7. Advancing global standards in Healthcare • Global Healthcare User Group • Develop global healthcare standards • Drive global harmonization • Local Healthcare User Groups • Drive adoption & implementation of GS1 Standards • Help develop global healthcare standards © 2008 GS1
  • 8. Local Healthcare user groups driving adoption 8 © 2008 GS1
  • 9. GS1 Healthcare around the World Members global user group Local participation Manufacturers Distributors/Healthcare Manufacturers Healthcare providers/Retailers Abbott Laboratories providers/GPOs/T&L 3M Alfred Hospital (Australia) Alcon Labs Cardinal Health (U.S.) Bayer Ascension Health (U.S.) Amgen CH Aulnay sous Bois (France) Becton Dickinson Capital District Health (Canada) Astra Zeneca Comparatio Health (Germany) Boehringer Ingelheim CHU de Québec (Canada) Baxter CVS (U.S.) Coloplast CHU Dijon (France) Becton Dickenson DHL Exel Supply Chain Draeger Medical HUG Geneva (Switzerland) B. Braun Erasmus MC Rotterdam (NL) Genzyme London Drugs (U.K.) Boston Scientific UNI.HA (representing 17 French Hospira Mayo Clinic (U.S.) Bristol Myers Squibb university hospitals) Kimberly-Clark Sisters of Mercy (U.S.) Cook Hong Kong Hospital Authorities Novo Nordisk Sobeys Pharmacy (U.K.) Covidien McKesson (U.S.) Purdue Pharma UHCS Augusta VA (U.S.) Edwards Lifescience Novation (U.S.) St. Jude Medical Walgreens (U.S.) Fresenius Orthopädisches Spital Speising Wien Stryker Wal-Mart (U.S.) Glaxo Smith Kline (Austria) Teva Pharmaceuticals … Johnson & Johnson Premier (U.S.) Terumo Associations King Pharmaceutical St. James Hospital, Dublin UCB AHA (U.S.) Medtronic Marienhospital Herne (Germany) Upsher-Smith CIP/ACL (France) Merck & Co. UMC Groningen (NL) … CHeS (U.S.) Novartis Pharma University Kentucky Healthcare Distributors/Wholesalers EFPIA (Europe) Pall Medical (U.S.) Aexxdis Eucomed (Europe) Pfizer Wiener Krankenanstaltenverbund Amerinet FENIN (Spain) Schering Plough (Austria) Amerisource Bergen GIRP (Europe) Smiths Medical Non-voting members CH2 HDMA (U.S.) Sakura Seiki AHRMM Depolabo International Hospital Federation Cladimed Galexis JFMDA (Japan) Solution provider EDQM – Council of Europe GAMMA Wholesale Medical Industry Association of Axway FDA USA Geodis Australia GHX Instituto Brasileiro de Ética McMahon NACDS (U.S.) Concorrencial – ETCO Owens & Minor Patient Safety Foundation (U.S.) © 2008 GS1 Public Health Agency of Canada … … US DoD And many more…
  • 10. Working with International Organisations International European Health Level 7 International International Organisation for Committee for Health World Health Society for Blood Standardization Standardization Terminology SDO Organization Transfusion International Society European European United Nations for Quality in Association of World Customs Healthcare Medical Device Association of Organization manufacturer Hospital Pharmacists © 2008 GS1
  • 11. GS1 Standards for Healthcare Standards development continues, but global standards are ALREADY available to build on: AIDC Application Standards for 90% of medical products AIDC Application Standards for small instruments Healthcare extension in next GDSN release Global Traceability Standard for Healthcare GTIN Allocation Rules for Healthcare Guideline for plasma derivatives © 2008 GS1
  • 12. Government & regulatory developments FDA Amendments Act of 2007 Serialised Numerical Identifiers (SNI) system for drugs – aligned with GS1 standards (AI(21)) Authority to develop regulations establishing a Unique Device Identification (UDI) system for medical devices “Pharma Package” - Prevention of the entry into the legal supply chain of medicinal products which are falsified in relation to their identity, history or source, introducing a harmonised coding system to enable traceability Recast of Medical Device Directive - To establish a UDI System EDQM Project: Track & Trace Service Phase 2 (live demo development) start Q1 2011 © 2008 GS1
  • 13. Government & regulatory developments (cont’d) China – Shanghai Regulation 7 November 2006 – Established a traceability system for implantable medical devices in 2007 India – Ministry of Health & Family Welfare – Tender requirements for GS1 Standards for all medical supplies procured by the MoHFW Australia – National eHealth Transition Authorities – To accelerate the adoption of eHealth established: • National Product Catalogue based on GS1 Standards • GLN Registry with GS1 Australia Turkey – Ministry of Health and SKG • National databank for medical devices • Track and Trace for pharmaceuticals based on GS1 standards – GS1 DataMatrix with GTIN, lot/batch number, serial number and expiry date – already in place France – enabling traceability Identification of drugs with GS1 Data Matrix containing GTIN, lot/batch number and expiry date – no serialisation - from 1 January 2011 onwards © 2008 GS1
  • 14. Industry developments US – Sunrise dates – GLN 2010 and GTIN 2012 – targeting for the adoption of GLN and GTIN by 2010 resp. 2012 US – Tender requirements – Endorsement by GPO’s and healthcare providers envisioning tender requirements for GS1 Standards Canada – Sunrise dates – GLN 2010 and GTIN 2012 – targeting for the adoption of GLN and GTIN by 2010 resp. 2012 Canada – Tender requirements – Endorsement by GPO’s and healthcare providers envisioning tender requirements for GS1 Standards Canada – Pharmaceutical Bar Coding Project - ISMP Canada and CPSI 14 © 2008 GS1
  • 15. DataMatrix on pharmaceuticals France: AFSSAPS Belgium: Pilot project unit Serbia: Pilot regulation (2011) dose marking Spain: Pilot Korea: pharma regulatory requirement (2011) Switzerland: SmartLog Pilot Turkey: Regulatory Japan: option for requirement (2010) instruments marking Brazil: traceability pilot successfully completed – ANVISA regulation = country requires DataMatrix = country using DataMatrix in pilots and/or developing © 2008 GS1 requirement for DataMatrix 15
  • 16. Position on Camera-Based scanners (June 2007) Preparing members, solutions providers and end users for the future… Get your copy at: http://www.gs1.org/docs/healthcare/GS1_HUG_ps_Ca mera_Based_Scanners.pdf 16 © 2008 GS1
  • 17. The need for global standards • Healthcare is local • Healthcare providers are local • Regulations are local • Healthcare is global • Healthcare supply chains often cross borders Country-by-country solutions are not sufficient nor effective © 2008 GS1
  • 18. GS1 Standards in Healthcare • Enable automatic identification systems • Enable traceability systems • Enable « clean » data GS1 Standards in Healthcare improve patient safety worldwide © 2008 GS1
  • 19. 19th Global GS1 Healthcare Conference Washington 6-8 April 2011 More information: soon on www.gs1.org/healthcare 19th Global GS1 Healthcare Conference Washington DC Metro Area – 6-8 April 2011 Registration open at www.gs1.org/healthcare 19 © 2008 GS1
  • 20. Contact Details Ulrike Kreysa GS1 Global Office T +32-2-788.78.37 E ulrike.kreysa@ gs1.org W www.gs1.org/healthcare